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乐山市医疗保障局公布4起欺诈骗保典型案例
2020-01-03 09:46 来源:乐山新闻网-乐山市医疗保障局

  YUANBIAOTI:

pk10官方开奖直播网站   2019NIANYILAI,LESHANSHIYILIAOBAOZHANGJUGENJUGUOJIAYILIAOBAOZHANGJU、SICHUANSHENGYILIAOBAOZHANGJUBUSHUANPAI,ZAISHIWEISHIZHENGFUDEJIANQIANGLINGDAOXIA,JINYIBUJIADAYIBAOJIJINANQUANJIANGUANLIDU,ZHELIDAJIQIZHAPIANBAOXINGWEI,ZUZHIKAIZHANYILIAOBAOZHANGJIJINZHUANXIANGZHILIYIJIDAJIQIZHAPIANBAO“BAIRIGONGJIANXINGDONG”,YIFAYIGUIWEIHUJIJINANQUAN,YANSUCHACHUYIPIQIZHAPIANQUYILIAOBAOZHANGJIJINANJIAN。WEIJUJIQUANSHEHUIHELIGONGTONGDAJIQIZHAPIANBAOXINGWEI,XIANJIANG4QIDIANXINGANLITONGBAORUXIA。

  一、捏造外伤经过,骗取医疗保障基金

  2017NIAN4YUE13RI,WUTONGQIAOQUCANBAORENYANGMOUMOU,JIANGYOUDISANRENZAOCHENGDE“YINJIUHOUXIXIDAOZHIYOUHUAIGUSHOUSHANG”DEWAISHANGJINGGUONIEZAOWEI“RUYUANYIXIAOSHIQIANZOULUBUSHENNIUSHANG”,XIANHOUZAILESHANSHISHIZHONGQUZHONGYIYIYUANHESICHUANSHENGGUKEYIYUANZHUYUANZHILIAO,YIBAOJIJINBAOXIAO11355YUAN。SHIHOUYINQUNZHONGJUBAO,WUTONGQIAOQUYILIAOBAOZHANGJUHESHIQISHOUSHANGGUOCHENG、ZHUYUANZHILIAOQINGKUANGHESHENQINGYIBAOBAOXIAODEQINGKUANGHOU,YIFAJIANGGAIANYIJIAOGONGANJIGUAN。2018NIAN9YUE27RI,YANGMOUMOUZHUDONGDAOGONGANJIGUANTOUAN,RUSHIGONGSHUFANZUISHISHI,BINGYU2019NIAN2YUEZHUDONGXIANGWUTONGQIAOQUYILIAOBAOXIANJIJINGUANLIZHONGXINTUIHUIYILIAOBAOXIANJIJINZHIFUJINE11355YUAN。2019NIAN2YUE28RI,JINGWUTONGQIAOQURENMINFAYUANPANJUE:YANGMOUMOUFANZHAPIANZUI,PANCHUYOUQITUXINGBAGEYUE,HUANXINGYINIANLIUGEYUE,BINGCHUFAJINRENMINBIWUQIANYUAN。

  二、持他人医疗保障身份凭证冒名就医

  EBIANXIANSHUIMOUMOUZAIWEIGOUMAIYILIAOBAOXIANDEQINGKUANGXIA,MAOYONGCANBAORENYUMOUMOUYIBAOKA,YU2018NIANZHI2019NIANZAILESHANSHIRENMINYIYUAN、WUJINGSICHUANZONGDUILESHANYIYUANDENGBUTONGYIYUANZHUYUAN7CI,ZHILIAOZIGONGAI。HOUZAIWUJINGSICHUANZONGDUILESHANYIYUANBEIFAXIANMAOMINGZHUYUAN,XIANHOUBAOXIAOYILIAOFEIYONG73496YUAN。EBIANXIANYILIAOBAOZHANGJUYIFAYIGUIZHUIHUIYIBAOJIJIN73496YUAN。

  三、伪造他人医疗服务票据,骗取医疗保障基金

  LIUMOUWEIZAOSHAWANQUCANBAORENYUMOUDEYIDIZHUYUANFEIYONGPIAOJU,XIANHOUBAOXIAOYIBAOJIJIN3WANYUYUAN、JUMINDABINGBAOXIANJIN0.5WANYUYUAN,MINZHENGJIUZHUJIN0.1WANYUYUAN。2016NIAN12YUE30RI,YINLIUMOUZAICITIJIAODECANBAORENYUMOUBAOZHANGZHUYUANZILIAOZHONGYIYUANXIANZHANGCHENGXIANSANZHONGBUTONGMINGCHENG,JINGHECHAYUMOUDEJIUYIBAOZHANGJILUHEHUIFANGCANBAORENYUMOU,FAXIANLIUMOUSHEXIANWEIZAOYUMOUZHUYUANYILIAOWENSHU、YILIAOFEIYONGPIAOJU,PIANQUYIBAOJIJIN、DABINGBAOXIANJINDENGQIZHAPIANBAOXINGWEI。YIJU《ZHONGHUARENMINGONGHEGUOXINGFA》、《ZHONGHUARENMINGONGHEGUOSHEHUIBAOXIANFA》YIJI《XINGZHENGZHIFAJIGUANYISONGSHEXIANFANZUIANJIANDEGUIDING》DENGFALVFAGUIDEGUIDING,SHAWANQUYILIAOBAOZHANGJUJIANGGAIANJIANYISONGGONGANJIGUANJINYIBUCHULI。2019NIAN6YUE5RISHAWANQUYILIAOBAOZHANGJUYIFAYIGUIZHUIHUIYIBAOJIJIN3.6WANYUYUAN。

  四、虚记费用,套取医保基金

  2019NIAN6YUE,MUCHUANXIANYIBAOJUJIHERENYUANZAIDUITANKUXIANGWEISHENGYUANZHUANXIANGZHILIJIANCHAZHONGFAXIAN:GAIYUANCAISEDUOPULECHAOSHENGJIANCHA(BAOKUOJINGBUXUEGUAN)DIANNAOXITONGZHONGBINGRENIDHAO(ANCAOZUOSHUNXUXITONGZIDONGSHENGCHENGQIEBUKEGENGGAI)YUJIANCHARIQIYOUMAODUN。GONGZUORENYUANSUIJICHOUQUGAIYUANBUFENCHUYUANGUIDANGBINGLI,FAXIANBUTONGHUANZHEZAIBUTONGSHIJIANNEIZHUYUAN,BINGLIZHONGCAISEDUOPULECHAOSHENGJIANCHABAOGAODANJILUBIANHAO(IDHAO)YOUZHONGHAOXIANXIANG。

  JINGHECHA,2019NIAN1YUEZHI2019NIAN5YUE,GAIYUAN209RENCIJINGBUXUEGUANCAISEDUOPULECHAOSHENGJIANCHAYOUYIBAOZHIFUSHUJUERWUYIYUANCHUCUNSHUJU,SHEJIWEIGUIJINE16093YUAN;321RENCICAISEDUOPULECHAOSHENGCHANGGUIJIANCHAYOUYIBAOZHIFUSHUJUERWUYIYUANCHUCUNSHUJU,WEIGUIJINE17976YUAN。GAIYUANSHEXIANXUJIFEIYONGGONGJI34069YUAN。

  ANZHAO《LESHANSHIJIBENYILIAOBAOXIANDINGDIANYILIAOJIGOUFUWUXIEYI》YUEDINGTIAOKUANGUIDING,MUCHUANXIANYILIAOBAOZHANGJUZELINGTANKUXIANGWEISHENGYUANLIJIZHENGGAI,ZHUIHUIYIZHIFUDEWEIGUIFEIYONG34069YUAN,BINGANWEIGUIJINEDE3BEIKOUQUWEIYUEJIN,HEJI136276YUAN。TONGSHI,JIANGZHUANXIANGZHILIJIANCHAJICHULIQINGKUANGYISONGXIANJIWEIJIANWEI。

(ZERENBIANJI:CHENXIA)

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